A Quality Improvement initiative to decrease Referral from a Subdistrict Hospital in Rural India

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Quasi-experimental study analyzes the impact of HCP training on referral rates, highlighting improved pediatric emergency management skills.

A significant 9.43% to 6.61% reduction in hospital referral rates was observed during the study period.
Training led to a notable 15% improvement in the NQAS hospital score, with effects lasting through June 2024.
Emergency medical officers and nurses received targeted training, enhancing their confidence and skills in handling pediatric emergencies.
Improvements in mortality rates occurred, dropping from 2.46% to 1.23%, indicating better emergency management.

Sinharay et al. (2025) studied this question.

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Quasi-experimental study analyzes the impact of HCP training on referral rates, highlighting improved pediatric emergency management skills.